Active NPI
Kelly O'Brien, M.S., CCC-SLP
- Speech-Language Pathologist
- Duncannon, PA
National Provider Identifier
1760812465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL010344
- Practice address
- 102 Chandra Dr
Duncannon, PA 17020-9745 - Phone
- (717) 834-4111
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL010344 | PA | Primary |
Addresses
Primary practice location
102 Chandra Dr
Duncannon, PA 17020-9745
Mailing address
102 Chandra Dr
Duncannon, PA 17020-9745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL010344 | PA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1760812465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CHANDRA DR",
"city": "DUNCANNON",
"state": "PA",
"postal_code": "170209745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CHANDRA DR",
"city": "DUNCANNON",
"state": "PA",
"postal_code": "170209745",
"telephone_number": "717-834-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KELLY",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL010344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncannon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.